Understanding HSA Balance and Taxes - Why Do You Have to Give HSA Balance on Taxes?

Health Savings Accounts (HSAs) are a great way to save money for medical expenses while reducing your taxable income. When you contribute to an HSA, the money you put in is tax-deductible, meaning you do not pay income tax on that amount.

However, it is important to understand that there are specific rules regarding HSA balances and taxes:

  • Any withdrawals used for qualified medical expenses are tax-free.
  • If you withdraw money for non-qualified expenses, you will owe income tax on that amount as well as a 20% penalty if you are under 65.
  • If you leave money in your HSA and let it grow, the balance continues to rollover year after year without being taxed.
  • When you reach 65, you can withdraw the money for any purpose without penalty, but income tax is still applicable on non-medical expenses.

Providing your HSA balance on taxes is necessary for reporting purposes. The balance indicates the total amount of contributions made to the account for that tax year, allowing the IRS to track your HSA activity accurately.


Understanding Health Savings Accounts (HSAs) can be a game-changer for your financial wellness. Not only do these accounts help you save money for future medical expenses, but they also provide significant tax benefits. Every dollar you contribute to your HSA is tax-deductible, effectively reducing your taxable income and giving you more control over your healthcare finances.

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